Individual
CAROLINE RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4732 SGODA RD, MACON, GA 31217-8855
(478) 742-6934
(478) 745-1259
Mailing address
4732 SGODA RD, MACON, GA 31217-8855
(478) 742-6934
(478) 745-1259
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
12/12/2016
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